RAC Audit Defense
Before you simply capitulate and pay them, it would be prudent to confirm their findings. Writing a small check to The Coding Network might eliminate or reduce a large check to these “bounty hunters.” Their auditors may not be intimately familiar with your specialty, and their commission-only structure certainly gives them an incentive to assert that you’ve made coding errors or that your records don’t support your claims. There may be some gray areas in your charts that they interpret against you. We can audit the same encounters or operations they examined, and our findings may give you the ammunition you need to mount a credible defense.
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Latest Blog Posts:
Why Human Oversight in AI Medical Coding Remains Essential in 2025
The emergence of AI in medical coding is invariably impacting healthcare and traditional workflows and resource allocation. Yet, as AI platforms tout accuracy rates exceeding 90%, a critical question persists: Can autonomous coding stand alone? [...]
AI Medical Coding Is Fast—Until Compliance Slows You Down
Why Human Validation Is Now Mission‑Critical (and How to Add It Overnight) Artificial‑intelligence engines from Aidéo, Fathom, Nym, 3M, and others are transforming medical coding speed. Yet payers haven’t lowered the bar— they’ve raised it. Humana, [...]
How to Dodge the Holiday Coding Backlog – Without Adding Full‑Time Staff
Summer vacations fill the calendar, and Labor Day marks the starting line of a four‑month holiday sprint. For revenue‑cycle leaders, that means one thing: charts start stacking up on Friday, coders walk in Monday to a [...]
Need Professional Medical Coding Assistance: Why Using Your Doctors To Code Is Not Free
In today’s fast-paced healthcare environment, efficiency and accuracy are non-negotiable. Every medical practice, hospital, and healthcare system strives to optimize revenue, ensure compliance, and deliver exceptional patient care. One area that often flies under the [...]